Organization Active NPI

Craig Groninger

  • Primary Care Clinic/Center
  • Anderson, IN
National Provider Identifier
1063676302
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CRAIG GRONINGER
Practice address
2321 Charles St
Anderson, IN 46013-2762
Phone
(765) 642-1851
Fax
(765) 642-3756
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Craig Alan Groninger, O.D.
Title
Owner/Pres
Phone
(765) 642-1851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2321 Charles St
Anderson, IN 46013-2762

Mailing address

2321 Charles St
Anderson, IN 46013-2762
Phone (765) 642-1851

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1063676302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 CHARLES ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460132762",
            "telephone_number": "765-642-1851",
            "fax_number": "765-642-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 CHARLES ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460132762",
            "telephone_number": "765-642-1851",
            "fax_number": "765-642-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG GRONINGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GRONINGER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "765-642-1851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.